- Mass Markets (VA)
- …as a trusted partner in the industry. We are seeking a detail-oriented and analytical Quality Assurance Specialist to join our team. This role is critical in ... for detail, strong communication skills, and a passion for quality assurance within a BPO environment. To...cars! + Health Benefits:Full-time employees are eligible for comprehensive medical , dental, and vision coverage after 60 days of… more
- Cognizant (Richmond, VA)
- …and coverage guidelines and regulations + Experience in the analysis and processing of claims , utilization review/ quality assurance procedures + Must be able ... School Diploma or equivalent is required + A minimum of 1 years of medical claims processing is required + Facets experience is highly preferred + Knowledge of… more
- Cognizant (Richmond, VA)
- …+ 1 year of Facets experience. + Experience in the analysis and processing of claims for payments, utilization review/ quality assurance procedures. + Must be ... is required. **Travel:** None required **About the role:** As Claims Processor (with Facets), you will be responsible for...HCFA paper or EDI information. * Responsible for reviewing medical records when necessary to determine if service rendered… more
- USAA (Chesapeake, VA)
- …and design methodologies, eg Six Sigma and Lean, business operations, risk management, quality assurance and control, or internal audit (in addition to the ... their physical, financial, and emotional wellness. These benefits include comprehensive medical , dental and vision plans, 401(k), pension, life insurance, parental… more
- Otsuka America Pharmaceutical Inc. (Richmond, VA)
- …Summary** We are seeking an experienced and dynamic Executive Director of R&D Global Quality to join our team. This pivotal role will be responsible for leading a ... global team focused on R&D Quality . This global role includes direct reports in the...years of experience in a FDA regulated pharmaceutical and/or medical device industry environment + Strong knowledge of current… more
- Banner Health (VA)
- …documentation completed by the health care team for the health record(s) and for quality assurance in the alignment of clinical documentation and billing codes. ... different focuses (Facility vs Profee)._ In this **Inpatient Facility-based HIMS Coding Quality Associate** position, you bring your **5 years of acute care… more
- UIC Government Services and the Bowhead Family of Companies (Langley AFB, VA)
- …identifies effective the quality /safety management/program interface with the Government quality assurance evaluation program. + Responsible for and oversee ... **Overview** Quality Manager (PTR-2025-23578): Bowhead seeks to network witha...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- Evolent (Richmond, VA)
- …of experience in technical quality assurance and database testing, medical benefits, provider, enrollment, and / or claims data. + Demonstrable ... for the culture. **What You'll Be Doing:** Job Description **Analyst, Integration Quality ** Integration testing in the healthcare ecosystem requires complete end to… more
- Intermountain Health (Richmond, VA)
- …regulatory guidelines and established departmentalpolicies and procedures, objectives, quality assurance program, safety, environmental and infectioncontrol ... regulatory guidelines and established departmental policies and procedures, objectives, quality assurance program, safety, environmental and infection control… more
- Sedgwick (Richmond, VA)
- …of a client Disability Pension Board + Review of identified appeal cases for quality assurance purposes + Voting member to determine if eligibility requirements ... state regulations, and client service requirements and assure efficient, cost effective, quality program delivery for medical and disability management. +… more
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